In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: What are 2 types of therapeutic aids to ? Answer: 1. Humidity and Aerosol therapy and 2. Chest tubes and drainage . Question: What is therapy? Answer: Non particle-size water that is uniformly in the air. Question: What to normal humidity when environment differs? Answer: Enviornments differ in their normal (20%, 50%, 70% etc.) but the body always needs 100% humidity. Question: What is deficit? Answer: It is the amount of water (humidity) the body needs to makeup from air in order to achieve 100%. It is expressed as mmgH20/L of gas. The body needs 44 mg H20/L of gas. Question: When does intended to help humidity deficit work better? Answer: 1. Temperature is increased. 2. Surface area of the water is increased. 3. Pressure in the system is . Question: What is the problem with devices? Answer: It can be a of contamination. Question: What is areosol / the aerosol particles? Answer: aerosol particles are larger particles, can often been seen . May be made of water, liquid medication, or dry powder-type medication. Question: What does an aerosol therapy cause to the ? Answer: are not natural to the airways and may cause irritation, bronchospasm. Question: What are the optimal particle in aerosol therapy? Answer: Large airways -particles >5 microns.Middle&small airways is 3-5 microns. -particle s >0.5 microns & < 3 microns. Question: What when there is a particle deposition in an aerosol therpay?Answer: The higher the flow rate, the up the resp. tract the deposition will occur.The Inspiratory hold will increase particle deposition Question: What are the general goals of therpay? Answer: goals: delivered medications- Bronchodilators, (secretions thining agents), Provides mucosa hydration & delivered antibiotic medications. Question: What are the complications and hazards of Aerosol ?Answer: 1. Fluid overload (monitor input/output) 2. Bronchospasm 3. Contamination 4. Ultrasonic Nebulizers should not be used to for medications 5. Dizziness may result if a pt. over-ventilates -Have pt. slow down &Use normal breathing Question: How do we an aerosol output? Answer: 1.If no output - check medications, fluid level, device for proper function - Commonly need to the flow 2. If aerosol doesn't disappear during an inhalation, instruct pt. to breath thru mouth - Not thru Nose Question: What are the indiccations for a -tube insertion? Answer: Pneumothorax -Air &Hemothorax -Fluid &Air in pleural space causing lung collapse.If > 20% of lung need a chest tube(CT) based on X-ray &BS.Pleural -Excess Fluid causes Lung Spaceloss treat by inserting needle in space to relievepressure;insert CT Question: What is a tube insertion procedure? Answer: 1.Pneumothorax -Tube placed in upper chest, 2nd interspace, midclavicular line. 2.Hemothorax/Pleural effusion tube placed b/w 4th &5th interspace, line. Question: What must exists when removing/discontinuing a chest tube? Answer: Tube must be clamped for 24hrs. In that 24hrs they must not be :1. Any sign of Resp. distress 2. Any evidence of Pnuemothorax/Hemothorax as indicated by X-ray. 3. If exists, unclamped the chest tube &Resume chest drainage. Question: s a chest tube removal procedure? Answer: 1. Pull the Tube during a Valsalva Manuever complete exhalation 2. The side should be covered with petroleum based Jelly &Sterile gauze. 3. Pulse X-ray should be taken Question: What are the type of chest drainage ? Answer: They consist of a single/Series of glass bottles/ Jugs. It is helpful for Visualization purpose, to consider the older type of system in order to /understanding on how these systems functions. Question: What are the of a chest drainage system? Answer: 1. Collection of fluids. 2. Control 3. Allow 1-way movement of gases &Fluids(out of lung, not back in). This is called a Water seal. Question: What are the of chest drainage systems? Answer: The 3 systems (1-bottle, 2-bottle, 3-bottle). Question: What is the 3 system? Answer: From pt. a tube E enters a collection bottle. Fluid drops to bottom &gas is pulled in other tube. TubeD enters water seal bottle gases are drawn thru a tube. i.e under H2O(Gentle bubbling is seen). TubeC enters suction control bottle no bubbling Question: What is the disposable ? Answer: Used in 3 bottle system. 1.Suction Control 2.Water Seal 3.Collection bottle. When Collection chamber is full whole unit. 1-2cm H2O should be placed in Water seal bottle. 15-20cm H2O should be placed in suction control bottle Question: What are the problems while there is a low return volume in a mech. Vent found during monitioring a chest drainage system? Answer: low return volume in a mech. Vent - It means lost volume thru the lung & the Chest Tube. 1. Adjust VT to maintain desired ABG . 2.Hole in the Lung may need surgical repair. Question: What are the problems when there is no bubbling in the suction control bottle found during monitioring a chest drainage system? Answer: Increase vaccum pressure @ the Wall until bubbling occurs. Question: What are the potential problems when excessive bubbling in the suction control bottle during monitioring a chest drainage system? Answer: until only gentle bubbling is present. Question: What are the problems when excessive/continous bubbling found during monitioring a chest drainage system?Answer: 1. Indicates a leak b/w pt.&water-seal bottle. 2. If all connections are secure-begin tube E where the tube exists the pt. If bubbling stops then leak is inside the pt.& surgery is needed. Question: If continues what is to be done? Answer: If bubbling continues move clamp b/w pt & collection tube. If bubbling stops-replace tube.If bubbling continues move clamp to tubing b/w collection & water-seal bottle. If bubbling stops-replace tubing. Bubbling should stop if not, external system Question: What are the potential problems when nothing developing in the collection bottle - lung is not re-inflating found during monitioring a drainage system? Answer: 1. Ensure there is suction coming from the wall. 2. Ensure bottle system is below insertion site of chest tube. *sometimes systems use gravity alone. There is no vaccum. These systems work fine. only assist evacuation. Question: What are the potential problems No bubbling in the -seal bottle found during monitioring a chest drainage system? Answer: is not enough -not enough water in the suction control bottle. Question: What are the potential problemscollection bottle is developing fluid quickly @ >100 ml/hr found monitioring a chest drainage system? Answer: 1. Pt. may be hemorrhaging. 2. Evaluate: Hb, Bp, and all data associated w/blood loss. Question: What should be done if a glass bottle breaks during monitioring a drainage system? Answer: If glass bottle breaks then submerge chest tube into water from any . |
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